Search results for "hospitalisation"
showing 10 items of 14 documents
The effectiveness of influenza vaccination in preventing hospitalisations of elderly individuals in two influenza seasons: a multicentre case-control…
2017
Influenza vaccination may limit the impact of influenza in the community. The aim of this study was to assess the effectiveness of influenza vaccination in preventing hospitalisation in individuals aged ≥ 65 years in Spain. A multicentre case–control study was conducted in 20 Spanish hospitals during 2013/14 and 2014/15. Patients aged ≥ 65 years who were hospitalised with laboratory-confirmed influenza were matched with controls according to sex, age and date of hospitalisation. Adjusted vaccine effectiveness (VE) was calculated by multivariate conditional logistic regression. A total of 728 cases and 1,826 matched controls were included in the study. Overall VE was 36% (95% confidence inte…
Prevalence and incidence of kidney diseases leading to hospital admission in people living with HIV in France: an observational nationwide study.
2019
ObjectivesTo describe hospitalisations for kidney disease (KD) among people living with HIV (PLHIV) in France and to identify the factors associated with such hospitalisations since data on the epidemiology of KD leading to hospitalisation are globally scarce.DesignObservational nationwide study using the French Programme de Médicalisation des Systèmes d’Information database.SettingFrance 2008–2013.ParticipantsAround 10 862 PLHIV out of a mean of 5 210 856 patients hospitalised each year. All hospital admissions with a main diagnosis code indicating KD (International Classification of Diseases, 10th revision codes, N00 to –N39) were collected.Main outcome measuresThe prevalence and incidenc…
La scuola in ospedale: un’opportunità di ‘attraversamento’ del rischio per il bambino ospedalizzato
2004
Aim. The paper reports research on the subject of "Overcoming the illness risk in the School in Hospital service" the aim of which was to monitor this particular service so as to assess whether or not the activities proposed are directed by the model of overcoming inherent risks as defined and reported here. Four research directions were taken to verify the hypothesis whereby the service takes on a supportive-transformative value which enables the hospitalized child to study through his/her illness and is thus able to develop by activating support, protection and diagnosis functions. Methods. The investigation was carried out using the single case methodology which provided for continuous o…
Hospitalisation and length of hospital stay following first-episode psychosis:Systematic review and meta-analysis of longitudinal studies
2019
AbstractBackgroundReducing hospitalisation and length of stay (LOS) in hospital following first episode psychosis (FEP) is important, yet reliable measures of these outcomes and their moderators are lacking. We conducted a systematic review and meta-analysis to investigate the proportion of FEP cases who were hospitalised after their first contact with services and the LOS in a hospital during follow-up.MethodsStudies were identified from a systematic search across major electronic databases from inception to October 2017. Random effects meta-analyses and meta-regression analyses were conducted.Results81 longitudinal studies encompassing data for 23 280 FEP patients with an average follow-u…
Les managers ont-il le pouvoir de changer la GRH dans les établissements d’hospitalisation ?
2012
Depuis le début des années 1980 dans les pays occidentaux, les hôpitaux et les cliniques sont contraints par les gouvernements de contenir leurs dépenses (Bach, 1996). Cette politique a induit des changements organisationnels afin d’obtenir des gains de productivité. Des normes de qualité ont aussi été introduites pour favoriser de nouvelles pratiques notamment en matière de management. Dans ce contexte, les gestionnaires, aux pouvoirs élargis du fait des réglementations, ont introduit des pratiques de GRH de type individualisant opposées à celles plus collectives en vigueur jusqu’alors (Storey, Bacon, 1993 ; Pichault, Nizet, 2000). Si le contexte externe semble expliquer cette évolution, c…
L’adoption du modèle de GRH « individualisant » dans les établissements d'hospitalisation
2011
Cet article propose une synthèse des études menées sur l’évolution des pratiques de GRH des établissements d’hospitalisation notamment britanniques. Celles-ci mettent en exergue l’existence d'une pression de la part des gouvernements pour l’adoption de normes managériales dominantes dans le monde des affaires conformément aux principes du New Public Management. Cependant, si l’homogénéité des décisions des dirigeants, qui adoptent le modèle de GRH « individualisant », est perceptible, ce n’est pas le cas de la réalité des pratiques. Les apports de la théorie néo-institutionnaliste de Paul Di Maggio et Walter Powell sont alors discutés au regard d’autres courants comme le contextualisme qui …
L’accident vasculaire cérébral en France : patients hospitalisés pour AVC en 2014 et évolutions 2008-2014
2017
ntroduction – In France, stroke is the first cause of death in women, and the third in men. The age-standardized rates of patients hospitalized for stroke increased in patients younger than 65 years between 2002 and 2008. After the implementation of the “National Stroke Action Plan” (2010-2014), this study analyzed trends in the rates of patients hospitalized for stroke and of patients hospitalized in stroke units since 2008.Methods – Data came from the French national hospital discharge databases (PMSI-MCO, 2008-2014). For each patient, the first annual hospitalization for stroke was selected. Crude hospitalized patients and in-hospital mortality rates were calculated by stroke subtypes, a…
Polypharmacy in people with dementia: Associations with adverse health outcomes
2018
Polypharmacy has been linked to higher risks of hospitalisation and death in community samples. It is commonly present in people with dementia but these risks have rarely been studied in this population. We aimed to investigate associations between polypharmacy and emergency department attendance, any and unplanned hospitalisation, and mortality in patients with dementia. Using a large mental health care database in South London, linked to hospitalisation and mortality data, we assembled a retrospective cohort of patients diagnosed with dementia. We ascertained number of medications prescribed at the time of dementia diagnosis and conducted multivariate Cox regression analyses. Of 4668 pati…
Sejas un žokļu traumas Paula Stradiņa Klīniskajā Universitātes slimnīcā
2020
Sejas un žokļu traumu ietekme uz hospitalizācijas ilgumu un neiroloģisko simptomātiku Paula Stradiņā Klīniskajā Universitātes slimnīcā. Viena no plašākajām traumu kategorijām, kas tieši pieder pie jebkuras valsts galvenajām sociālekonomiskajām problēmām un skar visus pasaules iedzīvotāju slāņus, un ir galvaskausa, sejas un apakšžokļu traumas. Sejas traumas ir bieži izplatītas, jo seja ir visatklātākā un neaizsargātākā ķermeņa daļa ar nelielu aizsargpārklājumu. Mutes dobuma un augšžokļa sejas traumas, papildus sejas estētikai, ietekmē tādas funkcijas kā elpošana, košļāšanas, rīšanas un runas funkcijas. Darba mērķi: noskaidrot FISS skalas ietekmi uz pareģojošo pacientu hospitalizācijas ilgumu…
The multifaceted spectrum of liver cirrhosis in older hospitalised patients: Analysis of the REPOSI registry
2021
Abstract Background Knowledge on the main clinical and prognostic characteristics of older multimorbid subjects with liver cirrhosis (LC) admitted to acute medical wards is scarce. Objectives To estimate the prevalence of LC among older patients admitted to acute medical wards and to assess the main clinical characteristics of LC along with its association with major clinical outcomes and to explore the possibility that well-distinguished phenotypic profiles of LC have classificatory and prognostic properties. Methods A cohort of 6,193 older subjects hospitalised between 2010 and 2018 and included in the REPOSI registry was analysed. Results LC was diagnosed in 315 patients (5%). LC was ass…